Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Plaquenil and the sun Chloroquine phosphate resistant malaria Iupac name of chloroquine Sweating stoping plaquenil Ocular side effects of amiodarone include corneal verticillata or whorl-like keratopathy, which occur in 70% to 100% of patients. This keratopathy is related to the dose and duration of treatment, generally appears after at least one month of therapy and will resolve upon discontinuation of the medication. The finding of corneal verticillata bares no correlation with retinal toxicity and is not an indication to stop the medication. The hallmark of hydroxychloroquine toxicity is bilateral pigmentary retinopathy 1. Corneal verticillata is recognizable as fine golden-brown or gray opacities in the basal epithelium that branch out from a central whorl, usually across the inferior cornea. The deposits do not stain and are almost always bilateral 1. Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Plaquenil corneal verticillata Cornea verticillata Hereditary Ocular Diseases, Hydroxychloroquine Plaquenil Toxicity and. How much weight did people lose on hydroxychloroquineAre mefloquine and plaquenil the sameDoes plaquenil suppress your immune system Cornea verticillata, also called vortex keratopathy or whorl keratopathy, is a condition characterised by corneal deposits at the level of the basal epithelium forming a faint golden-brown whorl pattern. It is seen in Fabry disease or in case of prolonged amiodarone intake. Causes Amiodarone Fabry’s disease Chloroquine Hydroxychloroquine Indomethacin Phenothiazines etc. Cornea verticillata - Wikipedia. Cornea verticillata, causes, symptoms, diagnosis & treatment. Does Patient with Lupus Have Plaquenil Retinopathy?. Plaquenil side effects start off by effecting the surface of the eye the cornea leading to verticillata. Verticillata are deposits of salts within the corneal epithelium. This does not cause any symptoms to the patient and is reversible when the medication is stopped. SIDE EFFECTS. The following adverse reactions have been identified during post-approval use of PLAQUENIL or other 4-aminoqunoline compounds. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Introduction. The eye is an important indicator of rheumatologic disease. A wide variety of ophthalmic clinical manifestations exist including inflammation of the cornea, conjunctiva, lacrimal gland, episclera, sclera, uvea including anterior, intermediate, and posterior uveitis, and ophthalmic blood vessels.